Holly Minnick-Bishop Arnp, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

AP60594013 Issued in WA

Legal business name

HOLLY MINNICK-BISHOP ARNP, LLC

Practice address

6212 75TH St W
Lakewood, WA 98499-8368

Phone

(253) 983-8507

Fax

(253) 983-8576

NPI assigned

May 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Holly Minnick-Bishop, ARNPNPI 1790157923

Title

Owner

Phone

(253) 983-8507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly R Minnick-Bishop, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, WA
  • NPI 1790157923
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1295180669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 75TH ST W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998368",
            "telephone_number": "253-983-8507",
            "fax_number": "253-983-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 75TH ST W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998368",
            "telephone_number": "253-983-8507",
            "fax_number": "253-983-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY MINNICK-BISHOP ARNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "MINNICK-BISHOP",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-983-8507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "AP60594013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Sue Holbrook, BA
• Gary Holland
• Matthew Holland
• Elliot Holley
• Tera Hollows
• Hannah Holmes
• Katherine Lawrence Holmes
• Laneiya Diana-Renee Holmes
• Claudia Araceli Holsen, PA-C
• Alexis Holsted

• Community/Behavioral Health Agency in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.